Dr. Mansukh Mandaviya, Union Minister for Health and Family Welfare today chaired a high level meeting with the UT of Delhi to review the public health measures taken for control and management of Dengue.
Highlighting the urgency of intervention, the Union Health Minister pointed out that many poor people are affected by dengue who are weakened due to low platelet count. “Primary health care centres may prescribe anti-pyretic drugs to suppress the symptoms without addressing the root cause which may lead to eventual demise of the patient. Since testing is the most important step to identifying dengue, these deaths will not be reported as such and the incidence will continue to be under-reported.” He thereafter directed officials to ramp up testing so that all cases are reported and treated properly.
The Minister also stressed on the need for effective co-ordination between Center and States. He observed that some hospitals are over-burdened with dengue cases while beds continue to be empty in other hospitals. Effective communication between all stakeholders was thus suggested as the way forward. He requested the Delhi officials to look into the possibility of repurposing COVID beds to treat Dengue. It was decided that health officials of the Union Health Ministry will support their counterparts in the Government of NCT of Delhi to chalk out a detailed action plan to combat Dengue.
Dr. Mandaviya also advised to on-board all the MCDs, NDMC, Cantonment Board and other stakeholders in the effort to intensify vector control. It was noted that although the Health Administration was very effective in their communication on vector control, the efficacy of these messages on the action taken by common people remains unknown. Use of mosquito nets, full sleeved clothing, indoor fogging are to be encouraged while the MCDs are to spray in the houses of the Dengue patients and 60 houses around it.
Other than removing stagnant water in houses, restaurants, industries, overhead tanks, the Health Minister stressed on the identification of slums without regular supply of water where water is stored for consumption. Although extensive cleaning is required in some surfaces where water gets replaced frequently like coolers and refrigerator trays, the use of chemicals like Temephos granules is known to be effective in larvae control.
Dr. Mansukh Mandaviya was apprised that campaign of the Delhi Government to sensitize school children on larvae control and training them to ensure lack of water storage in flower pots, feeding bowls for birds, coolers etc., will be taken up as the schools are being re-opened. Biological larvicide fishes like Gambusia have been deployed in 163 sites. The Govt. of Delhi has declared Dengue a notified disease which will enhance reporting and monitoring of the disease. Delhi is monitoring all fever cases, suspected dengue cases and confirmed cases. All hospitals have been converted to sites with zero tolerance of Mosquitoes; since vectors acquire the pathogen from infected persons and are able to transmit it in their offspring too. Mosquito net will be provided to Dengue patients.
Although only 10% cases are complicated and mortality seldom crosses 1%, all Delhi Govt health officials assured the Union Health Minister that the outbreak shall be contained with the help of all stakeholders. The meeting also discussed the new vaccines developed to target Dengue.
The Union Health Minister directed the Union Health Secretary to identify and send team of experts to States with High Active Caseload of Dengue. The Best Practices of these States are also to be recorded in the subsequent review meets.
Shri Rajesh Bhushan, Union Health Secretary, Shri Vikash Sheel, Additional Secretary and Mission Director, NHM, Ms. Arti Ahuja, Additional Secretary (Health), Dr S K Singh, Director, NCDC and other senior officials of the Union Health Ministry were present in the meeting. Shri Bhupinder Bhalla, Additional Chief Secretary (Health), Delhi led the delegation of UT Health officials in the meeting.
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தில்லியில் டெங்கு நிலவரம் குறித்து ஆராயவும், கட்டுப்பாட்டு நடவடிக்கையை மேற்கொள்ளவும் தில்லி யூனியன் பிரதேச அரசுடன் உயர்நிலைக் கூட்டத்திற்கு மத்திய சுகாதாரம் மற்றும் குடும்ப நலத்துறை அமைச்சர் மன்சுக் மாண்டவியா தலைமை தாங்கினார்.
ஏழை மக்கள் அதிக பேர் டெங்குவால் பாதிக்கப்படுகின்றனர் எனக் குறிப்பிட்ட மத்திய அமைச்சர், காய்ச்சல் அறிகுறிகளைக் கட்டுப்படுத்த ஆரம்ப சுகாதார நிலையங்கள், உடல் வெப்பநிலையைக் குறைக்கும் மருந்துகளை அளிக்கின்றனர் எனத் தெரிவித்தார். காய்ச்சலுக்கான அடிப்படைக் காரணம் அறியப்படாததால் நோயாளிகள் இறக்க நேரிடுகிறது எனவும் அதனால் டெங்குவை அடையாளம் காண பரிசோதனை மிகவும் முக்கியம் என மத்திய அமைச்சர் குறிப்பிட்டார். டெங்குவுக்கான பரிசோதனையை அதிகரிக்க வேண்டும் என்றும், முறையான சிகிச்சை அளிக்க வேண்டும் என்றும் அதிகாரிகளுக்கு திரு மன்சுக் மாண்டவியா உத்தரவிட்டார்.
இந்த விஷயத்தில் மத்திய, மாநில அரசுகள் ஒருங்கிணைந்து செயல்பட வேண்டும் என அவர் வலியுறுத்தினார். சில மருத்துவ மனைகளில் டெங்கு நோயாளிகள் அதிக அளவில் உள்ளனர். சில மருத்துவமனைகள் காலியாக உள்ளன. இதனால் அனைத்துத் தரப்பினரிடையே வலுவான தகவல் தொடர்பு அவசியம் என அவர் குறிப்பிட்டார். கொரோனா படுக்கை வசதிகளை டெங்கு சிகிச்சைக்கு பயன்படுத்துவதற்கான சாத்தியங்களை ஆராயும்படி தில்லி அதிகாரிகளை அவர் கேட்டுக் கொண்டார்.
–திவாஹர்